In the case of neurological
disorders, patient autonomy is a fundamental principle which must be taken into
consideration. In the case of this pathology, fluctuating mental deterioration
is encountered most frequently in the case of mild forms of dementia. In the
case of severe forms of dementia, the patient loses any autonomy and requires
permanent medical care, as well as a permanent legal representative.
Aim of this study was to know autonomy
of the patients with certain neurological disorders about ability of making
decisions for their medical care.
of 323 patients attended in either emergency or
outpatient, betweenApriltoDecember 2006,in“Prof.Dr.NicolaeOblu”ClinicalHospitalofEmergency, Iasi, Romania.Study
(with a number of 215 cases)–agroupofpatientswiththe
diagnosticsof acutecerebrovascularaccident,aphasiaanddementia.Group2 (with a number of 108 cases)–patientsknownorrecently
diagnosed with amyotrophic lateralsclerosis, multiple sclerosisand
myasthenia gravis.Consentinformedgiven by patientintheobservationchartsofabove twogroupswasobservedandnumberofpatientswhohas
given consent was compared
in both the groups.
Results: On the cases under study, only for
13.6% of the patients of the first group there is consent informed in the
observation chart, while for the patients in the second group this percentage
was slightly smaller (9.3%).
Conclusions: As very few patients have given
written informed consent and more sever the neurological disorder less the
chances to have written informed consent by patients. So it can be concluded
that medical performance brings indisputable benefits, however it should be
done by a careful selection of the subjects and by following ethical
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